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General NPI Number Information
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NPI Number | 1609747658
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Entity Type | Organization
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Legal Business Name | FAIRHEALTH LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 16035 ESTATE LN
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City | LAKEVILLE
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State | MN
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Zip | 55044-2269
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Country | US
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Telephone | 619-383-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 9115 OLD CEDAR AVE S APT 100
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City | BLOOMINGTON
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State | MN
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Zip | 55425-2383
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Country | US
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Telephone | 619-383-4250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FARAH HUSSEIN
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Credential |
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Telephone | 619-383-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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